Social Anxiety Disorder Coping How to Practice Progressive Muscle Relaxation A Step-by-Step Plan to Relax Your Body By Arlin Cuncic Arlin Cuncic Arlin Cuncic, MA, is the author of "Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder" and "7 Weeks to Reduce Anxiety." Learn about our editorial process Updated on August 03, 2020 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Steven Gans, MD Medically reviewed by Steven Gans, MD Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Print Klaus Vedfelt / Getty Images Table of Contents View All Table of Contents Steps Voice Recording Efficacy Progressive muscle relaxation (PMR) is an anxiety-reduction technique first introduced by American physician Edmund Jacobson in the 1930s. The technique involves alternating tension and relaxation in all of the body's major muscle groups. If you suffer from social anxiety disorder (SAD), your muscles are probably tense quite often. By practicing PMR, you will learn how a relaxed muscle feels different from a tense muscle. Progressive muscle relaxation is generally used along with other cognitive behavioral therapy techniques such as systematic desensitization. However, practicing the technique alone will give you a greater sense of control over your body's anxiety response. If you practice this technique correctly, you may even end up falling asleep. If so, congratulate yourself on obtaining such a deep level of relaxation, and for the work that you did up to that point. For those who suffer from medical conditions, be sure to consult with your doctor prior to beginning any type of relaxation training exercise. Progressive Muscle Relaxation Steps Find a quiet place free from distractions. Lie on the floor or recline in a chair, loosen any tight clothing, and remove glasses or contacts. Rest your hands in your lap or on the arms of the chair. Take a few slow even breaths. If you have not already, spend a few minutes practicing diaphragmatic breathing. Now, focus your attention on the following areas, being careful to leave the rest of your body relaxed. Forehead: Squeeze the muscles in your forehead, holding for 15 seconds. Feel the muscles becoming tighter and tenser. Then, slowly release the tension in your forehead while counting for 30 seconds. Notice the difference in how your muscles feel as you relax. Continue to release the tension until your forehead feels completely relaxed. Breathe slowly and evenly.Jaw: Tense the muscles in your jaw, holding for 15 seconds. Then release the tension slowly while counting for 30 seconds. Notice the feeling of relaxation and continue to breathe slowly and evenly.Neck and shoulders: Increase tension in your neck and shoulders by raising your shoulders up toward your ears and hold for 15 seconds. Slowly release the tension as you count for 30 seconds. Notice the tension melting away.Arms and hands: Slowly draw both hands into fists. Pull your fists into your chest and hold for 15 seconds, squeezing as tight as you can. Then slowly release while you count for 30 seconds. Notice the feeling of relaxation.Buttocks: Slowly increase tension in your buttocks over 15 seconds. Then, slowly release the tension over 30 seconds. Notice the tension melting away. Continue to breathe slowly and evenly.Legs: Slowly increase the tension in your quadriceps and calves over 15 seconds. Squeeze the muscles as hard as you can. Then gently release the tension over 30 seconds. Notice the tension melting away and the feeling of relaxation that is left.Feet: Slowly increase the tension in your feet and toes. Tighten the muscles as much as you can. Then slowly release the tension while you count for 30 seconds. Notice all the tension melting away. Continue breathing slowly and evenly. Enjoy the feeling of relaxation sweeping through your body. Continue to breathe slowly and evenly. Voice Recording In addition to following these instructions, you may consider using a voice recording such as the free MP3 audio file offered by McMaster University with directions on practicing progressive muscle relaxation. The use of an audio recording allows you to fully relax and concentrate on the technique. Efficacy of PMR for Anxiety A systematic review conducted in 2008 and published in the journal BMC Psychiatry showed the efficacy of relaxation training, including PMR, in the treatment of anxiety. Therefore, if you are looking for evidence-based options to help treat your social anxiety, PMR may be a good choice. Progressive Muscle Relaxation (PMR) for Anxiety A Word From Verywell Relaxation techniques such as progressive muscle relaxation can be helpful for mild to moderate social anxiety, or when practiced alongside traditional treatment such as cognitive-behavioral therapy or medication. However, if you find yourself living with severe untreated social anxiety, it is important to consult with a doctor or other mental health professional to obtain suitable treatment. 5 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Jacobson E. Progressive relaxation (2nd ed.). Chicago: University of Chicago Press 1938 Bermejo Caja CJ, Martín García Á, García Laborda A, Pérez Quintana M, Díaz Rodríguez L, Marqués Andrés S. Effectiveness of relaxation on anxiety and quality of life in adult patients with generalised anxiety disorder: a systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports. 2013;11(1):270 – 287 Pagnini F, Manzoni GM, Castelnuovo G, Molinari E. A brief literature review about relaxation therapy and anxiety. Body, Movement and Dance in Psychotherapy. 2013;8(2):71-81. doi:10.1080/17432979.2012.750248 Manzoni GM, Pagnini F, Castelnuovo G, Molinari E. Relaxation Training for Anxiety: A Ten-Year Systematic Review with Meta-Analysis. BMC Psychiatry. 2008;8:41. doi:10.1186/1471-244X-8-41 Jorm AF, Christensen H, Griffiths KM, Parslow RA, Rodgers B, Blewitt KA. Effectiveness of complementary and self-help treatments for anxiety disorders. Med J Aust. 2004;181(7 Suppl):S29-46. doi:10.5694/j.1326-5377.2004.tb06352.x By Arlin Cuncic Arlin Cuncic, MA, is the author of "Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder" and "7 Weeks to Reduce Anxiety." See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for Social Anxiety Disorder Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.